FORM 1023-EZ for ANIMAL ALLIANCE RESCUE AND SHELTER

Field Data
EIN 83-1171502
Case Number EO-2019035-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIMAL ALLIANCE RESCUE AND SHELTER
Organization’s Mailing Address 102 E ADAMS
City MT AYR
State IA
ZIP 50854
Accounting period End 12
Primary contact name TRACY HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY HILL
PRESIDENT
403 W MONROE
MT AYR IA 50854

Officer/Director/Trustee Two

DIXIE STRANGE
VICE PRESIDENT
102 B E ADAMS
MT AYR IA 50854

Officer/Director/Trustee Three

CHERYL ROACH
TREASURER
102 E ADAMS
MT AYR IA 50854

Officer/Director/Trustee Four

PENNY HYMBAUGH
SECRETARY
407 S WEBSTER
MT AYR IA 50854

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACY HILL
Signature Title PRESIDENT
Signature Date 1/9/19

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